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Reference No.

: CEF13747018-29000900202122778902 Generated on 22 September 2021 00:29 (Philippine Standard Time)

Republic of the Philippines REVISED CEF-1


COMMISSION ON ELECTIONS
Intramuros, Manila

Instruction : Fill-in completely and legibly the appropriate spaces and check appropriate choice/s in boxes.

APPLICATION FOR REGISTRATION (Accomplish Personal Information at the back)

Note: (For Applicant/s with existing Registration Records)

I, REMEDIOS NAVARRO CAMPOSANO , Filipino, born on 01/17/1939 , a duly registered voter in Precinct No.
of Barangay BARANGAY 66-A , City/Municipality of TACLOBAN CITY , Province of LEYTE , do HEREBY
APPLY FOR: (Check for appropriate box/es)

APPLICATION FOR TRANSFER OF REGISTRATION RECORD


within the same City/Municipality/District from another City/Municipality/District
(Accomplish Personal Information at the back)
My New Residence is:
House No. & Street BLK O LOT 153 SCANDINAVIAN VILLAGE , Barangay BARANGAY 100 (SAN ROQUE) , City/Municipality
TACLOBAN CITY , Province LEYTE
I have resided in my new residence for 27 years and for 6 months.

APPLICATION FOR REACTIVATION OF REGISTRATION RECORD


Reason for Deactivation:
1. Sentenced by final judgment to suffer imprisonment for not less than one (1) year;
2. Convicted by final judgment of a crime involving disloyalty to the duly constituted government, etc;
3. Declared by competent authority to be insane or incompetent;
4. Failed to vote in two (2) successive preceding regular elections;
5. Loss of Filipino citizenship; or
6. Exclusion by a court order.
7. Failure to Validate
That said ground no longer exists, as evidenced by the attached certification/order of the court (in cases of 1, 2, 3, 5 and 6).

APPLICATION FOR CHANGE OF NAME DUE TO MARRIAGE OR COURT ORDER/CORRECTION OF


ENTRIES IN THE VOTERS' REGISTRATION RECORD
(Attach required supporting documents such as Certified Copy or Certificate of Court Order or Certificate of Live Birth, and others)
Present Data/Information:

New/Corrected Data Information:

APPLICATION FOR INCLUSION OF RECORDS IN THE BOOK OF VOTERS / REINSTATEMENT OF NAME IN


THE LIST OF VOTERS
Inclusion of VRR in the precinct book of voters Reinstatement of the name of the registered voter
which has been omitted in the list of voters
I do hereby request that my name which has been omitted in the list of voters/my registration record which has not been
included in the precinct book of voters of Precinct No. , be reinstated/included therein. The said reinstatement of
name/inclusion of registration record is necessary and valid.

IN WITNESS WHEREOF, I hereunto affix my signature this ________ day of ____________, _______ at TACLOBAN
CITY , Province of LEYTE , Philippines

Signature over Printed Name


SUBSCRIBED AND SWORN to before me on the above date.
EO/Administering Officer
Print at the back of CEF-1
Application No. Precinct No.

Instructions : (1) Accomplish separately in three copies; (2) print legibly; (3) check the appropriate box.
Part 1 PERSONAL INFORMATION ( To be filled out by Applicant)
NAME Illiterate Person with Disability

Last CAMPOSANO Indigenous People

REMEDIOS Assisted by :
First

CHERRY MAE L. CAMPOSANO


Middle NAVARRO
(Please fill-up Supplemental Data Form/Assistor's
Oath)

RESIDENCE/ ADDRESS Province LEYTE Sex


City/ Municipality Barangay Male Female
TACLOBAN CITY BARANGAY 100 (SAN ROQUE)
DATE OF BIRTH
House No. / Street
01 17 1939
BLK O LOT 153 SCANDINAVIAN VILLAGE
Month Day Year
PLACE OF BIRTH
CITIZENSHIP FILIPINO By Birth Naturalized Reacquired
City/ Mun SANTA MARIA
(If naturalized / reacquired, state date of naturalization/ reacquisition and Certificate number of naturalization/ order of approval of reacquisition)

Date of Naturalization / Month Day Year Certificate No. / Order of Approval Province BULACAN
Reacquisition
CIVIL STATUS
PERIOD OF RESIDENCE Single
No. of Years No. of Months No. of Years
Married
In the City / Mun 27 6 In the Philippines 82
Name of Spouse, If married
PROFESSION / OCCUPATION
GORGONIO G. CAMPOSANO
TIN

Part 2 OATH ROLLED THUMBPRINTS / SPECIMEN SIGNATURES

REGISTRATION TRANSFER
I do solemnly swear that the above statements regarding my person are true and correct; that I
possess all the qualifications and none of the disqualifications of a voter and that I am registered in a
precinct of another City/ Municipality/District in the Philippines. Further, I give consent to the
processing of the Information stated herein by the Commission on Elections for registration, election
and other purposes as may be provided by law including B.P. Blg. 881, R.A. No. 8189, R.A. No. 10367
and R.A. No. 10173 also known as the Data Privacy Act of 2012. Left Thumb Right Thumb

Date 1
Month Day Year
Signature of Applicant 2
Above Printed Name

EO / Administering Officer
Signature Above Printed Name 3

Part 3 ACTION BY THE ELECTION REGISTRATION BOARD


Month Day Year
Approved With Precinct Assignment No.

Disapproved Reason for disapproval


DATE

Member Chairman of the Board Member


(Signature above Printed Name) (Signature above Printed Name) (Signature above Printed Name)

Part 4 VOTER IDENTIFICATION NUMBER (To be filled out by Election Officer)


Part I Part II Part III

Prov Code City/Mun/Dist. Code Precinct Assignment Month Day Year Name Code
Birth Code

Type of Application ACKNOWLEDGEMENT RECEIPT Application No.


Registration Transfer with Reactivation
Transfer Change of Name/ Correction of Entry This is to acknowledge receipt of your application.
Your application is subject for Approval/ Disapproval by the
Reactivation Reinstatement/ Inclusion Election Registration Board (ERB). You need not appear in
the ERB hearing unless required through a written notice.
Application for Registration Date of ERB Hearing _________________.
Last
First
EO/ Interviewer Signature above Printed Name
Middle
Reference No. : CEF13747018-29000900202122778902 Generated on 22 September 2021 00:29 (Philippine Standard Time)

Republic of the Philippines REVISED CEF-1


COMMISSION ON ELECTIONS
Intramuros, Manila

Instruction : Fill-in completely and legibly the appropriate spaces and check appropriate choice/s in boxes.

APPLICATION FOR REGISTRATION (Accomplish Personal Information at the back)

Note: (For Applicant/s with existing Registration Records)

I, REMEDIOS NAVARRO CAMPOSANO , Filipino, born on 01/17/1939 , a duly registered voter in Precinct No.
of Barangay BARANGAY 66-A , City/Municipality of TACLOBAN CITY , Province of LEYTE , do HEREBY
APPLY FOR: (Check for appropriate box/es)

APPLICATION FOR TRANSFER OF REGISTRATION RECORD


within the same City/Municipality/District from another City/Municipality/District
(Accomplish Personal Information at the back)
My New Residence is:
House No. & Street BLK O LOT 153 SCANDINAVIAN VILLAGE , Barangay BARANGAY 100 (SAN ROQUE) , City/Municipality
TACLOBAN CITY , Province LEYTE
I have resided in my new residence for 27 years and for 6 months.

APPLICATION FOR REACTIVATION OF REGISTRATION RECORD


Reason for Deactivation:
1. Sentenced by final judgment to suffer imprisonment for not less than one (1) year;
2. Convicted by final judgment of a crime involving disloyalty to the duly constituted government, etc;
3. Declared by competent authority to be insane or incompetent;
4. Failed to vote in two (2) successive preceding regular elections;
5. Loss of Filipino citizenship; or
6. Exclusion by a court order.
7. Failure to Validate
That said ground no longer exists, as evidenced by the attached certification/order of the court (in cases of 1, 2, 3, 5 and 6).

APPLICATION FOR CHANGE OF NAME DUE TO MARRIAGE OR COURT ORDER/CORRECTION OF


ENTRIES IN THE VOTERS' REGISTRATION RECORD
(Attach required supporting documents such as Certified Copy or Certificate of Court Order or Certificate of Live Birth, and others)
Present Data/Information:

New/Corrected Data Information:

APPLICATION FOR INCLUSION OF RECORDS IN THE BOOK OF VOTERS / REINSTATEMENT OF NAME IN


THE LIST OF VOTERS
Inclusion of VRR in the precinct book of voters Reinstatement of the name of the registered voter
which has been omitted in the list of voters
I do hereby request that my name which has been omitted in the list of voters/my registration record which has not been
included in the precinct book of voters of Precinct No. , be reinstated/included therein. The said reinstatement of
name/inclusion of registration record is necessary and valid.

IN WITNESS WHEREOF, I hereunto affix my signature this ________ day of ____________, _______ at TACLOBAN
CITY , Province of LEYTE , Philippines

Signature over Printed Name


SUBSCRIBED AND SWORN to before me on the above date.
EO/Administering Officer
Print at the back of CEF-1
Application No. Precinct No.

Instructions : (1) Accomplish separately in three copies; (2) print legibly; (3) check the appropriate box.
Part 1 PERSONAL INFORMATION ( To be filled out by Applicant)
NAME Illiterate Person with Disability

Last CAMPOSANO Indigenous People

REMEDIOS Assisted by :
First

CHERRY MAE L. CAMPOSANO


Middle NAVARRO
(Please fill-up Supplemental Data Form/Assistor's
Oath)

RESIDENCE/ ADDRESS Province LEYTE Sex


City/ Municipality Barangay Male Female
TACLOBAN CITY BARANGAY 100 (SAN ROQUE)
DATE OF BIRTH
House No. / Street
01 17 1939
BLK O LOT 153 SCANDINAVIAN VILLAGE
Month Day Year
PLACE OF BIRTH
CITIZENSHIP FILIPINO By Birth Naturalized Reacquired
City/ Mun SANTA MARIA
(If naturalized / reacquired, state date of naturalization/ reacquisition and Certificate number of naturalization/ order of approval of reacquisition)

Date of Naturalization / Month Day Year Certificate No. / Order of Approval Province BULACAN
Reacquisition
CIVIL STATUS
PERIOD OF RESIDENCE Single
No. of Years No. of Months No. of Years
Married
In the City / Mun 27 6 In the Philippines 82
Name of Spouse, If married
PROFESSION / OCCUPATION
GORGONIO G. CAMPOSANO
TIN

Part 2 OATH ROLLED THUMBPRINTS / SPECIMEN SIGNATURES

REGISTRATION TRANSFER
I do solemnly swear that the above statements regarding my person are true and correct; that I
possess all the qualifications and none of the disqualifications of a voter and that I am registered in a
precinct of another City/ Municipality/District in the Philippines. Further, I give consent to the
processing of the Information stated herein by the Commission on Elections for registration, election
and other purposes as may be provided by law including B.P. Blg. 881, R.A. No. 8189, R.A. No. 10367
and R.A. No. 10173 also known as the Data Privacy Act of 2012. Left Thumb Right Thumb

Date 1
Month Day Year
Signature of Applicant 2
Above Printed Name

EO / Administering Officer
Signature Above Printed Name 3

Part 3 ACTION BY THE ELECTION REGISTRATION BOARD


Month Day Year
Approved With Precinct Assignment No.

Disapproved Reason for disapproval


DATE

Member Chairman of the Board Member


(Signature above Printed Name) (Signature above Printed Name) (Signature above Printed Name)

Part 4 VOTER IDENTIFICATION NUMBER (To be filled out by Election Officer)


Part I Part II Part III

Prov Code City/Mun/Dist. Code Precinct Assignment Month Day Year Name Code
Birth Code
Reference No. : CEF13747018-29000900202122778902 Generated on 22 September 2021 00:29 (Philippine Standard Time)

Republic of the Philippines REVISED CEF-1


COMMISSION ON ELECTIONS
Intramuros, Manila

Instruction : Fill-in completely and legibly the appropriate spaces and check appropriate choice/s in boxes.

APPLICATION FOR REGISTRATION (Accomplish Personal Information at the back)

Note: (For Applicant/s with existing Registration Records)

I, REMEDIOS NAVARRO CAMPOSANO , Filipino, born on 01/17/1939 , a duly registered voter in Precinct No.
of Barangay BARANGAY 66-A , City/Municipality of TACLOBAN CITY , Province of LEYTE , do HEREBY
APPLY FOR: (Check for appropriate box/es)

APPLICATION FOR TRANSFER OF REGISTRATION RECORD


within the same City/Municipality/District from another City/Municipality/District
(Accomplish Personal Information at the back)
My New Residence is:
House No. & Street BLK O LOT 153 SCANDINAVIAN VILLAGE , Barangay BARANGAY 100 (SAN ROQUE) , City/Municipality
TACLOBAN CITY , Province LEYTE
I have resided in my new residence for 27 years and for 6 months.

APPLICATION FOR REACTIVATION OF REGISTRATION RECORD


Reason for Deactivation:
1. Sentenced by final judgment to suffer imprisonment for not less than one (1) year;
2. Convicted by final judgment of a crime involving disloyalty to the duly constituted government, etc;
3. Declared by competent authority to be insane or incompetent;
4. Failed to vote in two (2) successive preceding regular elections;
5. Loss of Filipino citizenship; or
6. Exclusion by a court order.
7. Failure to Validate
That said ground no longer exists, as evidenced by the attached certification/order of the court (in cases of 1, 2, 3, 5 and 6).

APPLICATION FOR CHANGE OF NAME DUE TO MARRIAGE OR COURT ORDER/CORRECTION OF


ENTRIES IN THE VOTERS' REGISTRATION RECORD
(Attach required supporting documents such as Certified Copy or Certificate of Court Order or Certificate of Live Birth, and others)
Present Data/Information:

New/Corrected Data Information:

APPLICATION FOR INCLUSION OF RECORDS IN THE BOOK OF VOTERS / REINSTATEMENT OF NAME IN


THE LIST OF VOTERS
Inclusion of VRR in the precinct book of voters Reinstatement of the name of the registered voter
which has been omitted in the list of voters
I do hereby request that my name which has been omitted in the list of voters/my registration record which has not been
included in the precinct book of voters of Precinct No. , be reinstated/included therein. The said reinstatement of
name/inclusion of registration record is necessary and valid.

IN WITNESS WHEREOF, I hereunto affix my signature this ________ day of ____________, _______ at TACLOBAN
CITY , Province of LEYTE , Philippines

Signature over Printed Name


SUBSCRIBED AND SWORN to before me on the above date.
EO/Administering Officer
Print at the back of CEF-1
Application No. Precinct No.

Instructions : (1) Accomplish separately in three copies; (2) print legibly; (3) check the appropriate box.
Part 1 PERSONAL INFORMATION ( To be filled out by Applicant)
NAME Illiterate Person with Disability

Last CAMPOSANO Indigenous People

REMEDIOS Assisted by :
First

CHERRY MAE L. CAMPOSANO


Middle NAVARRO
(Please fill-up Supplemental Data Form/Assistor's
Oath)

RESIDENCE/ ADDRESS Province LEYTE Sex


City/ Municipality Barangay Male Female
TACLOBAN CITY BARANGAY 100 (SAN ROQUE)
DATE OF BIRTH
House No. / Street
01 17 1939
BLK O LOT 153 SCANDINAVIAN VILLAGE
Month Day Year
PLACE OF BIRTH
CITIZENSHIP FILIPINO By Birth Naturalized Reacquired
City/ Mun SANTA MARIA
(If naturalized / reacquired, state date of naturalization/ reacquisition and Certificate number of naturalization/ order of approval of reacquisition)

Date of Naturalization / Month Day Year Certificate No. / Order of Approval Province BULACAN
Reacquisition
CIVIL STATUS
PERIOD OF RESIDENCE Single
No. of Years No. of Months No. of Years
Married
In the City / Mun 27 6 In the Philippines 82
Name of Spouse, If married
PROFESSION / OCCUPATION
GORGONIO G. CAMPOSANO
TIN

Part 2 OATH ROLLED THUMBPRINTS / SPECIMEN SIGNATURES

REGISTRATION TRANSFER
I do solemnly swear that the above statements regarding my person are true and correct; that I
possess all the qualifications and none of the disqualifications of a voter and that I am registered in a
precinct of another City/ Municipality/District in the Philippines. Further, I give consent to the
processing of the Information stated herein by the Commission on Elections for registration, election
and other purposes as may be provided by law including B.P. Blg. 881, R.A. No. 8189, R.A. No. 10367
and R.A. No. 10173 also known as the Data Privacy Act of 2012. Left Thumb Right Thumb

Date 1
Month Day Year
Signature of Applicant 2
Above Printed Name

EO / Administering Officer
Signature Above Printed Name 3

Part 3 ACTION BY THE ELECTION REGISTRATION BOARD


Month Day Year
Approved With Precinct Assignment No.

Disapproved Reason for disapproval


DATE

Member Chairman of the Board Member


(Signature above Printed Name) (Signature above Printed Name) (Signature above Printed Name)

Part 4 VOTER IDENTIFICATION NUMBER (To be filled out by Election Officer)


Part I Part II Part III

Prov Code City/Mun/Dist. Code Precinct Assignment Month Day Year Name Code
Birth Code
Ref. No. : CEF13747018-29000900202122778902 Generated on 22 September 2021 00:29 (Philippine Standard Time)

Annex "B"
SUPPLEMENTARY DATA
(Persons with disabilities/ Senior Citizens with disabilities/ Indigenous Cultural Communities)

PERSONAL INFORMATION PWD

LAST NAME CAMPOSANO Physical

FIRST NAME REMEDIOS Hard of Hearing/ Deaf

MIDDLE NAME NAVARRO Speech

PRECINCT NO. Visual

BARANGAY BARANGAY 100 (SAN ROQUE) Non-Manifest

CITY/MUNICIPALITY TACLOBAN CITY Multiple Disabilities

PROVINCE LEYTE
TYPE(S) OF ASSISTANCE NEEDED ON ELECTION DAY

INDIGENOUS PEOPLE Assistor

Communication Assistance
Are you a member of any Indigenous People (IP) or
Indigenous Cultural Communities (ICC)? Accessible Precinct

Visual Assistance

None
YES NO

If yes, please indicate the Name of IP/ ICC Community PWD/SENIOR CITIZEN
Are you willing to vote in PWD/ SC Precinct No.
accessible polling place?

Name of IP/ ICC Community YES NO

Applicant's Signature or Customary Marking/ Thumbmark


over printed name

DATE : Applicant's Left Applicant's Right

CERTIFICATION/ ATTESTATION BY ASSISTOR


(For Illiterates/ Persons with Disabilities/ Indigenous People [IP] / Indigenous Cultural Community [ICC])

I, CHERRY MAE L. CAMPOSANO , a resident of BLK O LOT 153 SCANDINAVIAN VILLAGE , whose name and
signature appear below, hereby bind myself and declare under oath:

1. That I assisted the herein applicant for registration:


2. That I filled out his application in accordance with the Information given to me;
3. That the applicant was placed under oath;
4. That the Election Officer/ Interviewer read to the applicant his accomplished application; and
5. That the applicant affirmed the truth of the information stated in the accomplished application for registration affixing
his thumbmark and /or customary mark on his application in the presence of the Election Officer/ Interviewer.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of ______, 20__ at
______________________, Province of _____________________.

Signature over printed name of Assistor

Assistor's Left Assistor's Right

SUBSCRIBED AND SWORN to before me this ____ day of _______ at ______________________, Philippines.

Election Officer
Signature over Printed Name
Ref. No. : CEF13747018-29000900202122778902 Generated on 22 September 2021 00:29 (Philippine Standard Time)

Annex "B"
SUPPLEMENTARY DATA
(Persons with disabilities/ Senior Citizens with disabilities/ Indigenous Cultural Communities)

PERSONAL INFORMATION PWD

LAST NAME CAMPOSANO Physical

FIRST NAME REMEDIOS Hard of Hearing/ Deaf

MIDDLE NAME NAVARRO Speech

PRECINCT NO. Visual

BARANGAY BARANGAY 100 (SAN ROQUE) Non-Manifest

CITY/MUNICIPALITY TACLOBAN CITY Multiple Disabilities

PROVINCE LEYTE
TYPE(S) OF ASSISTANCE NEEDED ON ELECTION DAY

INDIGENOUS PEOPLE Assistor

Communication Assistance
Are you a member of any Indigenous People (IP) or
Indigenous Cultural Communities (ICC)? Accessible Precinct

Visual Assistance

None
YES NO

If yes, please indicate the Name of IP/ ICC Community PWD/SENIOR CITIZEN
Are you willing to vote in PWD/ SC Precinct No.
accessible polling place?

Name of IP/ ICC Community YES NO

Applicant's Signature or Customary Marking/ Thumbmark


over printed name

DATE : Applicant's Left Applicant's Right

CERTIFICATION/ ATTESTATION BY ASSISTOR


(For Illiterates/ Persons with Disabilities/ Indigenous People [IP] / Indigenous Cultural Community [ICC])

I, CHERRY MAE L. CAMPOSANO , a resident of BLK O LOT 153 SCANDINAVIAN VILLAGE , whose name and
signature appear below, hereby bind myself and declare under oath:

1. That I assisted the herein applicant for registration:


2. That I filled out his application in accordance with the Information given to me;
3. That the applicant was placed under oath;
4. That the Election Officer/ Interviewer read to the applicant his accomplished application; and
5. That the applicant affirmed the truth of the information stated in the accomplished application for registration affixing
his thumbmark and /or customary mark on his application in the presence of the Election Officer/ Interviewer.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of ______, 20__ at
______________________, Province of _____________________.

Signature over printed name of Assistor

Assistor's Left Assistor's Right

SUBSCRIBED AND SWORN to before me this ____ day of _______ at ______________________, Philippines.

Election Officer
Signature over Printed Name
Ref. No. : CEF13747018-29000900202122778902 Generated on 22 September 2021 00:29 (Philippine Standard Time)

Annex "B"
SUPPLEMENTARY DATA
(Persons with disabilities/ Senior Citizens with disabilities/ Indigenous Cultural Communities)

PERSONAL INFORMATION PWD

LAST NAME CAMPOSANO Physical

FIRST NAME REMEDIOS Hard of Hearing/ Deaf

MIDDLE NAME NAVARRO Speech

PRECINCT NO. Visual

BARANGAY BARANGAY 100 (SAN ROQUE) Non-Manifest

CITY/MUNICIPALITY TACLOBAN CITY Multiple Disabilities

PROVINCE LEYTE
TYPE(S) OF ASSISTANCE NEEDED ON ELECTION DAY

INDIGENOUS PEOPLE Assistor

Communication Assistance
Are you a member of any Indigenous People (IP) or
Indigenous Cultural Communities (ICC)? Accessible Precinct

Visual Assistance

None
YES NO

If yes, please indicate the Name of IP/ ICC Community PWD/SENIOR CITIZEN
Are you willing to vote in PWD/ SC Precinct No.
accessible polling place?

Name of IP/ ICC Community YES NO

Applicant's Signature or Customary Marking/ Thumbmark


over printed name

DATE : Applicant's Left Applicant's Right

CERTIFICATION/ ATTESTATION BY ASSISTOR


(For Illiterates/ Persons with Disabilities/ Indigenous People [IP] / Indigenous Cultural Community [ICC])

I, CHERRY MAE L. CAMPOSANO , a resident of BLK O LOT 153 SCANDINAVIAN VILLAGE , whose name and
signature appear below, hereby bind myself and declare under oath:

1. That I assisted the herein applicant for registration:


2. That I filled out his application in accordance with the Information given to me;
3. That the applicant was placed under oath;
4. That the Election Officer/ Interviewer read to the applicant his accomplished application; and
5. That the applicant affirmed the truth of the information stated in the accomplished application for registration affixing
his thumbmark and /or customary mark on his application in the presence of the Election Officer/ Interviewer.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____ day of ______, 20__ at
______________________, Province of _____________________.

Signature over printed name of Assistor

Assistor's Left Assistor's Right

SUBSCRIBED AND SWORN to before me this ____ day of _______ at ______________________, Philippines.

Election Officer
Signature over Printed Name
BRING THIS FORM TOGETHER WITH THE APPLICATION FORM
TO YOUR LOCAL COMELEC OFFICE

Reference No. : CEF13747018-29000900202122778902 Generated on 22 September 2021 00:29 (Philippine Standard Time)

Application for : City / Municipality : TACLOBAN CITY

Registration Province : LEYTE


Transfer / Others Application No. :
NAME OF APPLICANT (Pangalan ng Aplikante)

CAMPOSANO REMEDIOS NAVARRO


LAST NAME (Apelyido) FIRST NAME (Pangalan) MIDDLE NAME (Panggitna)

Thank you for using the COMELEC iRehistro Online Application Form.

Please bring the printed copy of your accomplished application form, together with the required documents, to your local
COMELEC Office, which is in
TACLOBAN CITY, LEYTE.

IMPORTANT REMINDERS TO APPLICANTS

1. PLEASE REMEMBER that accomplishing this online form DOES NOT mean that you are already a registered voter.
You still have to go through the following:
a. Go to your local COMELEC office to personally submit your Application Form. (This completes the process of
submission of your application)
b. The Election Registration Board (ERB) has to approve your application.
2. PRINTING REMINDERS :
a. Be sure to print your accomplished form on a folio size (long) bond paper (8-1/2" x 13") and that the four (4) QR
codes are printed clearly and completely. If not, please reprint.
b. Make sure that you have printed the PERSONAL INFORMATION page at the back of the CEF-1 page. If not,
please reprint for compliance.
3. Do not sign or affix your thumbmark on the Application Form yet. (You have to do this in the presence of the Election
Officer when you go to the local COMELEC Office for filing purposes.)
4. PLEASE BRING ANY OF THE FOLLOWING VALID IDs : Employee's identification card (ID), with the signature of the
employer or authorized representative; Postal ID; PWD Discount ID; Student's ID or library card, signed by the ID; Integrated
Bar of the Philipines (IBP) ID; License issued by the Professional Regulatory Commission (PRC); Certificate of Confirmation
issued by the National Commission on Indigenous Peoples (NCIP) in case of members of ICCs or IPS; School authority;
Senior Citizen's ID; Driver's license; NBI clearance; Passport; SSS/GSIS and any other valid ID.
5. For other registration-related queries, you may send an e-mail to registration@comelec.gov.ph or call (02) 525-5692
and (02) 525-4929.

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